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NPI Code Detail

MEDICARE: RITE AID OF OHIO INC

MEDICARE: RITE AID OF OHIO INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail Pharmacy02349200OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23647560OTHERNCPDP

General Provider Information

NPI Number : 1194731406
Entity Type Code : Organization
Provider Name (Legal Business Name) : RITE AID OF OHIO INC
Provider Business Mailing Address
First Line : 200 NEWBERRY COMMONS
Second Line :
City : ETTERS
State : PA
Zip : 17319-9363
Country : US
Telephone Number : 717-761-2633
Fax Number : 717-975-8659
Provider Business Practice Location Address
First Line : 242 LINCOLN WAY W
Second Line :
City : MASSILLON
State : OH
Zip : 44647-6566
Country : US
Telephone Number : 330-832-4774
Fax Number :
Authorized Official
Title or Position : SR MANAGER THIRD PARTY ENROLLMENTS
Name : JENNIFER M ZOREK
Credential :
Telephone Number : 717-975-5937
Provider Enumeration Date : 07/31/2006
Last Update Date : 03/10/2014

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Directions to “RITE AID OF OHIO INC ” Practice Location

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